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General NPI Number Information
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NPI Number | 1841880556
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Entity Type | Organization
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Legal Business Name | PHARMAXY, LLC.
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 2626 SPENCER HWY STE 140
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City | PASADENA
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State | TX
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Zip | 77504-1021
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Country | US
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Telephone | 832-831-2082
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 SPENCER HWY STE 140
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City | PASADENA
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State | TX
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Zip | 77504-1021
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Country | US
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Telephone | 832-831-2082
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | MR. MAXIMILIANO GARCIA JR.
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Credential | RPH
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Telephone | 832-832-2082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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